St Mary's Hospital
5801 Bremo Rd., Richmond, VA · Bonsecours · · NPI 1962464016
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Treat metacarpal fracture CPT 26608 | $9,961.81 | $16,603.02 | $3,282.70 – $3,348.35 | 3 |
| Treat metacarpal fracture CPT 26615 | $29,410.23 | $49,017.05 | $3,282.70 – $3,348.35 | 3 |
| Treat metatarsal fracture CPT 28485 | $142,260.19 | $237,100.32 | $7,279.94 – $7,425.54 | 3 |
| Treat radius fracture CPT 24665 | $14,723.43 | $24,539.05 | $7,279.94 – $7,425.54 | 3 |
| Treat slipped epiphysis CPT 27176 | $16,890.26 | $28,150.43 | $3,282.70 – $3,348.35 | 3 |
| Treat thigh fracture CPT 27230 | $431.40 | $719.00 | not published | 0 |
| Treat thigh fracture CPT 27246 | $658.20 | $1,097.00 | not published | 0 |
| Treat ulnar fracture CPT 24675 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat ulnar fracture CPT 24685 | $23,911.19 | $39,851.98 | $7,279.94 – $7,425.54 | 3 |
| Treat wrist dislocation CPT 25675 | $172.80 | $288.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $95.40 | $159.00 | not published | 0 |
| Treprostinil injection HCPCS J3285 | $113,834.81 | $189,724.68 | not published | 0 |
| Treprostinil, non-comp unit HCPCS J7686 | $7,424.67 | $12,374.45 | not published | 0 |
| Trg gene rearrangement anal CPT 81342 | $907.20 | $1,512.00 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $75.99 | $126.65 | not published | 0 |
| Triglycerides CPT 84478 | $53.40 | $89.00 | not published | 0 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $6,830.40 | $11,384.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $12,703.80 | $21,173.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $54,144.05 | $90,240.08 | $11,581.93 – $11,813.57 | 3 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $54,144.05 | $90,240.08 | $11,581.93 – $11,813.57 | 2 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,383.20 | $3,972.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,483.40 | $4,139.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $16,427.20 | $27,378.67 | $6,661.88 – $6,795.12 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $17,364.38 | $28,940.63 | $6,661.88 – $6,795.12 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $11,763.37 | $19,605.62 | $2,070.03 – $2,111.43 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $10,746.00 | $17,910.00 | $2,070.03 – $2,111.43 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $9,806.66 | $16,344.43 | $2,070.03 – $2,111.43 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $11,309.62 | $18,849.37 | $2,070.03 – $2,111.43 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $15,408.88 | $25,681.47 | $2,914.21 – $2,972.50 | 3 |
| Troponin quantitative CPT 84484 | $74.40 | $124.00 | not published | 0 |
| Tte w or without fol w/cont, com HCPCS C8921 | $529.80 | $883.00 | not published | 0 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $888.92 | $1,481.54 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $27,578.40 | $45,964.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $172.80 | $288.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,878.00 | $8,130.00 | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | $445.80 | $743.00 | not published | 0 |
| Tx l/r atrial fib addl CPT 93657 | $8,718.60 | $14,531.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $76,306.49 | $127,177.48 | $3,282.70 – $3,348.35 | 3 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $1,010.40 | $1,684.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $717.00 | $1,195.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $583.20 | $972.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $1,002.00 | $1,670.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $523.80 | $873.00 | not published | 0 |
| Ultrasound dx ophth b-scan CPT 76512 | $223.20 | $372.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $1,581.60 | $2,636.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,134.00 | $1,890.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,108.80 | $1,848.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $701.40 | $1,169.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,174.80 | $1,958.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $743.40 | $1,239.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $700.20 | $1,167.00 | not published | 0 |
| Ultrasound infant hips ltd without stress CPT 76886 | $150.60 | $251.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $696.00 | $1,160.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $615.60 | $1,026.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $829.80 | $1,383.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $530.40 | $884.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $3,756.00 | $6,260.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $677.40 | $1,129.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $829.80 | $1,383.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $1,838.40 | $3,064.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $855.60 | $1,426.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $1,823.40 | $3,039.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $964.20 | $1,607.00 | not published | 0 |
| Ultrasound transabd ea addl gest CPT 76812 | $991.80 | $1,653.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,605.00 | $2,675.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $3,085.20 | $5,142.00 | not published | 0 |
| Umbilicoplasty 15847 CPT 15847 | $50,682.80 | $84,471.33 | $8,200.11 – $8,200.11 | 1 |
| Unlisted fluoroscopic px CPT 76496 | $460.20 | $767.00 | not published | 0 |
| Unlisted hystsc px uterus CPT 58579 | $11,010.68 | $18,351.13 | $202.83 – $206.89 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $21,971.10 | $36,618.50 | $6,065.29 – $6,186.60 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $22,970.09 | $38,283.48 | $10,664.59 – $10,877.88 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $21,406.73 | $35,677.88 | $6,065.29 – $6,186.60 | 3 |
| Unlisted laps px esoph CPT 43289 | $58,436.78 | $97,394.63 | $10,664.59 – $10,877.88 | 3 |
| Unlisted laps px lymphtc sys CPT 38589 | $22,262.74 | $37,104.57 | $10,664.59 – $10,877.88 | 3 |
| Unlisted laps px ovidct ovry CPT 58679 | $19,688.74 | $32,814.57 | $10,664.59 – $10,877.88 | 3 |
| Unlisted laps px spleen CPT 38129 | $22,530.50 | $37,550.83 | $6,065.29 – $6,065.29 | 2 |
| Unlisted laps px ureter CPT 50949 | $29,550.29 | $49,250.48 | $6,065.29 – $6,186.60 | 3 |
| Unlisted laps px uterus CPT 58578 | $15,040.87 | $25,068.12 | $6,065.29 – $6,186.60 | 3 |
| Unlisted maaa CPT 81599 | $141.60 | $236.00 | not published | 0 |
| Unlisted mr procedure CPT 76498 | $779.40 | $1,299.00 | not published | 0 |
| Unlisted procedure rectum CPT 45999 | $17,842.52 | $29,737.53 | $933.00 – $951.66 | 3 |
| Unlisted px arthroscopy CPT 29999 | $19,107.28 | $31,845.47 | $1,613.25 – $1,645.51 | 3 |
| Unlisted px foot/toes CPT 28899 | $59,423.00 | $99,038.33 | $247.47 – $252.42 | 3 |
| Unlisted px hands/fingers CPT 26989 | $19,381.40 | $32,302.33 | $247.47 – $252.42 | 3 |
| Unlisted px male genital sys CPT 55899 | $16,781.16 | $27,968.60 | $250.67 – $255.68 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | $174.00 | $290.00 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $461.40 | $769.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $58.20 | $97.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $22,800.26 | $38,000.43 | $6,065.29 – $6,186.60 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,338.00 | $2,230.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $13,504.20 | $22,507.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,525.00 | $5,875.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,459.00 | $5,765.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,289.60 | $3,816.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $6,268.67 | $10,447.78 | $909.95 – $928.15 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $6,042.20 | $10,070.33 | $909.95 – $928.15 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | $16,363.67 | $27,272.78 | $909.95 – $928.15 | 3 |
| Urea nitrogen CPT 84520 | $28.80 | $48.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $957.00 | $1,595.00 | not published | 0 |
| Uric acid blood CPT 84550 | $41.40 | $69.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.